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Is Local Anesthesia Administered To Patients Before An Angiography?

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Posted on Thu, 17 Mar 2016
Question: Are patients usually sedated for an angiogram? I have had multiple biopsies and most have involved more pain than I could handle. I don't wish to be aware of the upcoming procedure if possible. Thanks for your response.
doctor
Answered by Dr. Lilit Baghdasaryan (35 minutes later)
Brief Answer:
Local anesthesia is used, and it is not painful

Detailed Answer:
Dear Sir,

Angiography is not a painful procedure. usually local anesthesia is done, as the only pain you can feel is in your wrist (or in your leg, if they use femoral access) where they insert catheter.
Don't worry, if the patient is very anxious sedatives can be used.

Wishing you good health

In case of further questions don't hesitate to ask

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Lilit Baghdasaryan (1 hour later)
The urologist that did my prostate biopsy a year ago brushed aside my concerns and essentially downplayed the level of pain. When he penetrated the wall of the rectum my pain level went up to 10 over 10 and I had trouble staying still. The doctor chewed me out and humiliated me. I did make it throught the procedure after he infiltrated the area more fully with a local. No cancer.

Some testimonials I have read indicate angiograms can be painful, not for everyone but for a minority. I am probably in that category, after going through 5 different biopsies and dlitations in the past. I really get overwhelmed by anxiety.

I realize that it is up my cardiologist whether to use sedatives, but is there some way I can present my case favorably to him? Any suggestions?

This will be last request of you, doctor. Thank you.
doctor
Answered by Dr. Lilit Baghdasaryan (1 hour later)
Brief Answer:
Welcome back

Detailed Answer:
Dear Sir,

I understand your concerns especially after painful urological biopsy.
In our hospital we perform angiographies every day, and I can't remember any patient who has pain during last year.
There are many patients who are anxious before the procedure, we usually give them Diazepam, and they tolerate the procedure quite well. So, don't worry, just discuss with your doctor the possibility of sedation.

Take care
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Lilit Baghdasaryan

Cardiologist

Practicing since :2007

Answered : 1536 Questions

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Is Local Anesthesia Administered To Patients Before An Angiography?

Brief Answer: Local anesthesia is used, and it is not painful Detailed Answer: Dear Sir, Angiography is not a painful procedure. usually local anesthesia is done, as the only pain you can feel is in your wrist (or in your leg, if they use femoral access) where they insert catheter. Don't worry, if the patient is very anxious sedatives can be used. Wishing you good health In case of further questions don't hesitate to ask Regards,